• Journal of Hospice and Palliative Care
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• v.10 no.1
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• pp.35-42
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• 2007

Purpose: Colorectal ranter is the 4th leading cause of cancer death in Korea and the prevalence is increasing continuously. This study was aimed to figure out the problems through the clinical consideration about terminal colorectal ranter patients who had died in hospice unit. Methods: We retrospectively reviewed the medical records in 78 patients with colorectal ranter who had admitted, received palliative care, and died in a hospice unit between April 2003 and November 2006. Results: The median age of patients was 59.6 years with 45 men (58%) and 24 women (42%). The median survival in hospice and palliative care was 36 days. The median hospitalization was 22 days. The most prevalent reason for admission was pain (38 patients, 49%), and the most common symptom was also pain (70 patients, 90%). Forty eight patients (62%) took analgesics before hospice referral. Twenty seven patients (65%) of 45 patients with intestinal obstruction have been performed palliative procedures. Median survival of patients with palliative procedure was higher than that of no palliative procedure group (47 days vs 19 days, P-value=0.005). Conclusion: The duration of hospice and palliative care was not enough to care the terminal colorectal cancer. Therefore, we suggest that proper education and information should be provided to physician, patients and their family members for effective hospice and palliative care.

• Radiation Oncology Journal
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• v.21 no.4
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• pp.276-282
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• 2003

Purpose: Although high-dose-rate intracavitary radiotherapy (HDR ICR) has been used in the treatment of cervical cancer, the potential for increased risk of late complication, most commonly in the rectum, is a major concern. We have previously reported on 136 patients treated with HDR brachytherapy between 1995 and 1999. The purpose of this study is to upgrade the previous data and confirm the correlation between late rectal complication and rectal dose in cervix cancer patients treated with HDR ICR. Materials and Methods: A retrospective analysis was peformed for 222 patients with cevix cancer who were treated for curative intent with external beam radiotherapy (EBRT) and HDR ICR from July 1995 to December 2001. The median dose of EBRT was 50.4 (30.6$\~$56.4) Gy with a daily fraction size 1.8 Gy. A total of six fractions of HDR ICR were given twice weekly with fraction size of 4 (3$\~$5.5) Gy to A point by Iridium-192 source. The rectal dose was calculated at the rectal reference point using the barium contrast criteria. in vivo measurement of the rectal dose was peformed with thermoluminescent dosimeter (TLD) during HDR ICR. The median follow-up period was 39 months, ranging from 6 to 90 months. Results: Twenty-one patients (9.5$\%$) experienced late rectal bleeding, from 3 to 44 months (median, 13 months) after the completion of RT. The calculated rectal doses were not different between the patients with rectal bleeding and those without, but the measured rectal doses were higher in the complicated patients. The differences of the measured ICR rectal fractional dose, ICR total rectal dose, and total rectal biologically equivalent dose (BED) were statistically significant. When the measured ICR total rectal dose was beyond 16 Gy, when the ratio of the measured rectal dose to A point dose was beyond 70$\%$, or when the measured rectal BED was over 110 Gy$_{3}$, a high possibility of late rectal complication was found. Conclusion: Late rectal complication was closely correlated with measured rectal dose by in vivo dosimetry using TLD during HDR ICR. If data from in vivo dosimetry shows any possibility of rectal bleeding, efforts should be made to reduce the rectal dose.

• Korean Journal of Cognitive Science
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• v.33 no.1
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• pp.51-75
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• 2022

Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation that is able to alter neuronal activity in particular brain regions. Many studies have researched how tDCS modulates neuronal activity and reorganizes neural networks. However it is difficult to conclude the effect of brain stimulation because the studies are heterogeneous with respect to the stimulation parameter as well as individual difference. It is not fully in agreement with the effects of brain stimulation. In particular few studies have researched the reason of variability of brain stimulation in response to time so far. The study investigated individual variability of brain stimulation based on circadian rhythm and chronotype. Participants were divided into two groups which are morning type and evening type. The experiment was conducted by Zoom meeting which is video meeting programs. Participants were sent experiment tool which are Muse(EEG device), tdcs device, cell phone and cell phone holder after manuals for experimental equipment were explained. Participants were required to make a phone in frount of a camera so that experimenter can monitor online EEG data. Two participants who was difficult to use experimental devices experimented in a laboratory setting where experimenter set up devices. For all participants the accuracy of 98% was achieved by SVM using leave one out cross validation in classification in the the effects of morning stimulation and the evening stimulation. For morning type, the accuracy of 92% and 96% was achieved in classification in the morning stimulation and the evening stimulation. For evening type, it was 94% accuracy in classification for the effect of brain stimulation in the morning and the evening. Feature importance was different both in classification in the morning stimulation and the evening stimulation for morning type and evening type. Results indicated that the effect of brain stimulation can be explained with brain state and trait. Our study results noted that the tDCS protocol for target state is manipulated by individual differences as well as target state.

• The Journal of Korean Society for Radiation Therapy
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• v.16 no.1
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• pp.1-9
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• 2004

Purpose : The aim of this study is to investigate the properties of small field size and to measure the penumbra and central axis depth dose varying to the jaw setting and off axis distance for indicate this data to small field sizes radiation therapy. Material and methods : The percentage depth dose, beam profile and central axis output dose was measured by farmer type ion chamber and pinpoint chamber using Primart linac with 6MV energy. Beam quality and penumbra variations according to the central axis shift, from center to every 2cm outside increment, and field size, from $1{\times}1cm$ to $10{\times}10cm$ was investigated and compared with that of the standard geometrical condition's results Results : The differences of measured values between two ion chamber was about $37\%$ at 10cm depth with $1{\times}1cm$ field sizes but as field size increased this differences was diminished gradually. Measured data from various off axis distance with the different asymmetric collimations are not changed significantly but as size decreased the dose variation was increased and at $1{\times}1cm$ field size dose difference among off axis distance was as much as $13\%$, and as shallower the measured depth the central axis dose variations among the OAD was increased, penumbra was not changed noticeably depending on off axis distance but the percentage of penumbra from its initial field sizes was strongly dependant on field sizes and penumbra occupation rates of its own field sizes ranging from $6\%$ at $10{\times}10cm$ to $50\%$ at $1{\times}1cm$ field size. Conclusion : For imrt treatment, there are several numbers of different gentry angles with beams of nonuniform fluences are required and several complex factors involved. Among them the characteristics of beam output varying to the geometrical setting and design of collimators are of important to attaining a good treatment results. As mentioned in results the differences of measured values are changed significantly depends on ion chamber volume, depths and field size. For providing quality radiation treatment, especially at small field size, those factor's should have considering deliberately.

• Journal of Korean Tunnelling and Underground Space Association
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• v.15 no.5
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• pp.505-522
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• 2013

Previously, a new concept of indexing methodology has been proposed for quantitative assessment of tunnel collapse hazard level at each tunnel face with respect to the given geological data, design condition and the corresponding construction activity (Shin et al, 2009a). In this paper, 'linear' model, in which weights of influence factors are invariable, and 'non-linear' model, in which weights of influence factors are variable, are taken into account with some examples. Then, the 'non-linear' model is validated by using 100 tunnel collapse cases. It appears that 'non-linear' model allows us to have adapted weight values of influence factors to characteristics of given tunnel site. In order to make a better understanding and help for an effective use of the system, a series of operating processes of the system are built up. Then, by following the processes, the system is applied to a real-life tunnel project in very weak and varying ground conditions. Through this approach, it would be quite apparent that the tunnel collapse hazard indices are determined by well interlinked consideration of face mapping data as well as design/construction data. The calculated indices seem to be in good agreement with available electric resistivity distribution and design/construction status. In addition, This approach could enhance effective usage of face mapping data and lead timely and well corresponding field reactions to situation of weak tunnel faces.

• The Korean Journal of Medicine
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• v.94 no.1
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• pp.96-106
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• 2019

Background/Aims: It is well known that gender differences are associated with clinical outcomes in patients with acute myocardial infarction (AMI). However, it is not clear whether gender differences affect the prognosis of elderly patients with AMI. Methods: We analyzed the incidence of in-hospital complications and mortality in the Korea Acute Myocardial Infarction Registry-National Institutes of Health from November 2011 to June 2015. This study included elderly patients (≥ 75 years) diagnosed with AMI. Results: A total of 2,953 patients were eligible for this study. Among them, 1,529 (51.8%) patients were female, and the mean age of the female group was older than that of the male group (80.7 ± 4.4 vs. 79.6 ± 4.0 years, respectively, p < 0.001). Elderly females utilized emergency medical services less frequently compared with elderly males (11.5 vs. 15.4%, respectively, p < 0.001). Elderly female AMI patients had a similar rate of in-hospital mortality compared with elderly males (7.1 vs. 8.4%, respectively, p = 0.196). The rate of major cardiac adverse events (MACEs) was lower in elderly females than males during a 12-month follow-up (hazard ratio [HR] 1.19, 95% confidence interval [CI] 1.00-1.41, p = 0.045). According to multivariate analysis, the male gender is an independent factor for predicting 1-year MACEs (HR 1.37, 95% CI 1.14-1.65, p < 0.001). Conclusions: No significant differences in peri-procedural complications or in-hospital mortality were observed between male and female elderly patients with AMI. However, elderly female patients had a more favorable prognosis than male patients during a 1-year clinical follow-up.

• Journal of the Korean Society for Marine Environment & Energy
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• v.17 no.4
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• pp.333-337
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• 2014

The purpose of this study is to develop a process technology to produce high hardness concentrated seawater removing chloride ions but containing useful minerals such as magnesium and calcium in the seawater desalination process. In order to make high hardness concentrated seawater, evaporation system is mostly used recently. Because evaporation system requires a large amount of energy consumption, in this study, it was aimed to produce high hardness concentrated seawater using membrane filtration requiring less energy. Nano filtration membranes were used for the experiments, and different types of high hardness concentrated seawater was produced depending on the membranes' specification, the number of times being concentrated, and pressure. As a result, at between 15bar and 20 bar in pressure, in between the second and the third times of concentration, the experiment result showed the best economic efficiency. By the experiment, production of high hardness concentrated seawater seemed to have a good economic feasibility.

• Journal of Korean Society of Coastal and Ocean Engineers
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• v.20 no.3
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• pp.321-331
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• 2008

A model has been constructed in this study for the investigation of physical characteristics of the Gyeonggi Bay and Han River estuary. MIKE 21 HD (HyDrodynamics) has been used for the uncertainty analysis of the tide of the Gyeonngi Bay and Han River estuary. A total of 15 model experiments have been performed for the hydrodynamic parts and the analysis of results have been made in terms of RMSD (Root-mean square deviation) which has been frequently employed in the suitability analysis of hydrological data since the introduction by NERC(1975), U.K. A smaller value of RMSD indicates the more suitability of a parameter to the model. Analysis of the hydrodynamic results has shown that RMSD of the mean tidal range has the largest value of 0.1148 at Yeomha channel while has the smallest value of 0.0400 at Yeonphyong-do, indicating that the uncertainty in the mean tidal range on near-shore side is larger than that of offshore side. Experiment with reduced water depth by 10% has produced a most significant increase in RMSD. It is therefore implied that the model response changes more sensitively to water depth rather than grid sizes, open boundary forcing and river discharge.

• Journal of the Korean Institute of Telematics and Electronics S
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• v.35S no.12
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• pp.109-120
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• 1998

An image segmentation approach based on the fuzzy worm searching and MIN-MAX clustering algorithm is proposed in this paper. This algorithm deals with fuzzy worm value and min-max node at a gross scene level, which investigates the edge information including fuzzy worm action and spatial relationship of the pixels as the parameters of its objective function. But the conventional segmentation methods for edge extraction generally need the mask information for the algebraic model, and take long run times at mask operation, whereas the proposed algorithm has single operation according to active searching of fuzzy worms. In addition, we also propose both genetic fuzzy worm searching and genetic min-max clustering using genetic algorithm to complete clustering and fuzzy searching on grey-histogram of image for the optimum solution, which can automatically determine the size of ranges and has both strong robust and speedy calculation. The simulation results showed that the proposed algorithm adaptively divided the quantized images in histogram region and performed single searching methods, significantly alleviating the increase of the computational load and the memory requirements.

• Proceedings of the Korea Society for Simulation Conference
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• 1994.10a
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• pp.11-11
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• 1994

트래픽의 흐름을 조절하고 ATM 네트워크 자원의 사용을 최적화하기위해서는 폭주로 인한 성능 저하를 막기 위한 적절한 제어가 필요하다. 기존의 사용자 감시 제어(UPC) 메커니즘이 네트워크의 상황과는 관계없이 매우 불안정한 예방적 기능만을 수행하였고, qvj로 인해 셀 지연을 가중시키는 한계점을 갖고 있었다. 본 논문은 OAM 셀을 이용하여 네트워크의 상태에 따라 능동적으로 반응하는 적응적 사용자 감시 제어 메커니즘을 제안하고ㅡ 버퍼로 인한 지연을 고려하여 서비스의 한층 더 높이고자 한다. 제시한 사용자 감시 제어방식은 OAM 셀이 주는 정보를 바탕으로 네트워크 내의 상황을 판단하여 사용자가 요구한 서비스의 질을 고려할 수 있도록 리키율과 버퍼의 문턱값을 조정하였다. 네트워크가 분주시에는 리키율을 낮추고 버퍼를 줄여서 네트워크 내에 유입되는 셀을 막는 역할을 하고 네트워크가 한가할 때는 리키율을 높히고 버퍼를 늘여서 빠르게 네트워크 내로 셀이 유일도리 수 있\ulcorner 한다. 폭주 발생 시에는 셀의 유입을 막고 푹주 상태가 해결될때까지 스페이서의 작동을 멈춘다. 본 논문에서 제시한 사용자 감시 제어 메커니즘의 트래픽 소스 모델은 IPP로 모델링하였고, 트래픽은 음성과 고속 데이터를 중심으로 시뮬레이션하였다. 음성과 고속 대이타 각각의 경우에 시뮬레이션한 결과를 기존의 방식과 비교, 분석한 결과에서 음성에서는 버퍼지연이 대폭 줄였고 고속 데이터인 경우에는 셀 손실율이 줄어드는 것을 볼 수 있었다. 따라서 제시한 방식에 의해 사용자가 요구하는 서비스의 질을 유지하면서 동시에 네트워크의 자원을 효율적으로 사용하였음을 알 수있었다.에 적합한가를 고찰하였다.베이터에 의한 아파트의 소음 및 진동에 관하여 그 현황, 원인 그리고 대책에 관한여 논하고자 한다.감 방법을 연구하였고, T.Sakai는 5자유도 모델을 이용하여 엔진 공회전시 발생하는 치타음에 대해 이론과 실험을 통해 해석하고, 엔진 회전수 변동, 클러치 특성, 변속기의 드래그(drag) 토크의 영향과 치타음 저감을 위한 개선된 클러치 특성을 제시하였다. 이 외에도 Thomas C.T.와 E.P.Petkus는 특정 차량에 대한 동력전달계의 비틀림 진동 현상에 대해 연구하였다. 이러한 연구들로 볼 때, 자동차 동력전달계에서 발생하는 진동은 이론과 실험을 통해 그 해석이 가능하며 설계에 매우 유용하게 이용되고 있음을 알 수 있다. 따라서, 본 연구는 4 실린더 4 싸이클 1.5 L 엔진을 장착한 경승용차의 실차 주행실험을 통해 가속 페달의 급조작에 따른 차체의 종진동 현상을 측정하고, 엔진-변속기-타이어-차체의 반환정계 4자유도 진동모델로 시뮬레이션을 수행하여 실차 주행실험의 결과치와 비교, 분석한 후 클러치 비틀림 특성을 비롯한 자동차 동력전달계의 각 설계인자들이 차체의 종진동에 어떠한 영향을 미치는가를 해석하고자 한다.be presented.LIFO, 우선 순위 방식등을 선택할 수 있도록 확장하였다. SIMPLE는 자료구조 및 프로그램이 공개되어 있으므로 프로그래머가 원하는 기능을 쉽게 추가할 수 있는 장점도 있다. 아울러 SMPLE에서 새로이 추가된 자료구조와 함수 및 설비제어 방식등을 활용하여 실제 중형급 시스템에 대한 시뮬레이션 구현과 시스템 분석의 예를 보인다._3$", chain segment,